Thyroid Results: What should I do?

iVillage Member
Registered: 03-26-2012
Thyroid Results: What should I do?
5
Tue, 04-24-2012 - 11:39am

Hello all,

iVillage Member
Registered: 10-13-1999
Thu, 04-26-2012 - 9:47am

Hi ohheyquack,

Welcome to our board.

Your doctor is "on the ball" by ordering the thyroid panel.

Calley7
iVillage Member
Registered: 03-26-2012
Fri, 04-27-2012 - 1:31pm
Hi Calley,

Thanks for your response and insight, I really appreciate it!

I went to a primary physician as suggested by my OB/GYN for a routine physical and to discuss the current test results. Now I have mixed messages and anxiety about how to move forward.

The physical was fine, although very hands off. Once we got to the test results she explained what you mentioned (that the TSH was elevated) and that it was likely hypothyroidism. She didn't examine my neck/throat at all, even though I do feel as though there is a small (maybe the size of a dime) lump about 3 fingers above my collarbone towards my throat.

Her suggestion was to retest only the T4 / free Thyroxine Index (currently at 1.7) in 6 weeks. I mentioned that my grandmother had a history of Thyroid problems, and ultimately had her Thyroid removed in 2010 and that I would feel more comfortable retesting the whole panel since she mentioned TSH can also fluctuate. She insisted there was nothing to worry about and that 6 weeks from now we could discuss whether or not medication was necessary. She went on to say medicine would only be necessary if my T4 decreased. (Even though my TSH is out of range)

My initial opinion was that this was not a very aggressive path forward. I am concerned about hair loss, sleepiness (I drink black coffee constantly just to get through the day), and it feels as though I have postnasal drip / feel the need to try and clear my throat, etc. Now I have anxiety.

I am scared and feeling a little anxious about waiting 6 weeks just to see if the one "normal" test result has changed. I am more concerned that she didn't examine my throat and wish I spoke up.

My question to the board is: does it usually take this long to make progress in a diagnosis or treatment? Is it normal to feel so anxious for wanting a complete picture of what is going? I am considering seeking a second opinion or getting a thyroid consult with an endocrinologist.

Any thoughts?

Thank you!
iVillage Member
Registered: 08-24-2009
Fri, 04-27-2012 - 2:08pm
Hi ohheyquack,
I would urge you to follow your instinct and get the second opinion or consultation with an endocrinologist you mentioned. Your elevated TSH level ought not be dismissed as easily as it seems your current doctor is doing.
If I understand correctly, she merely wants to retest the T4 in six weeks but didn't begin a treatment program, is that right? That approach really doesn't make sense to me. Clearly something is out of whack with your thyroid function, and it's not going to fix itself — it can't fix itself.
Here is a link to the WebMD overview of hypothyroidism. I hope the information is helpful for you as you continue to approach this matter with either your current doctor or a new one.
http://www.webmd.com/a-to-z-guides/hypothyroidism-topic-overview
Good luck, and let us know how you're doing.



Avatar for weberdns0
Community Leader
Registered: 08-25-2000
Fri, 04-27-2012 - 2:38pm

I would suggest a second opinion. I can't imagine going to a PCP with complaints of abnormal thyroid blood work and they do a hands off physical and don't even check your neck.

iVillage Member
Registered: 10-13-1999
Sat, 04-28-2012 - 2:13pm

It can take a while to get a diagnosis and that may depend upon the doctor.

Calley7